Individual provider Active NPI

Lewis M Garrish, D.M.D.

  • General Practice Dentistry
  • Gainesville, FL
National Provider Identifier
1013002153
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7700 Issued in FL
Practice address
2441 NW 43Rd St
Suite 16
Gainesville, FL 32606-7469
Phone
(352) 376-7335
Fax
(352) 378-5769
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7700 FL Primary

Addresses

Primary practice location

2441 NW 43Rd St
Suite 16
Gainesville, FL 32606-7469

Mailing address

2441 NW 43Rd St
Suite 16
Gainesville, FL 32606-7469
Phone (352) 376-7335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7700FLMDGeneral Practice Dentistry

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013002153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 NW 43RD ST",
            "address_2": "SUITE 16",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326067469",
            "telephone_number": "352-376-7335",
            "fax_number": "352-378-5769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 NW 43RD ST",
            "address_2": "SUITE 16",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326067469",
            "telephone_number": "352-376-7335",
            "fax_number": "352-378-5769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRISH",
        "first_name": "LEWIS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "7700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.